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目的探讨归因训练对消极归因模式初产妇分娩的影响。方法将符合标准的消极归因初产妇随机分为实验组(26例)和对照组(26例),实验组除常规护理外,进行归因训练,对照组26例只给予常规的分娩护理。结果归因训练后,实验组焦虑、抑郁水平(7.36±1.63、6.45±1.39)较对照组(9.51±1.89、9.19±2.04)明显减轻(P<0.01);实验组第一产程、第二产程(358.42±21.51、60.24±4.49min)较对照组(471.10±33.70、66.72±4.57min)明显缩短(P<0.01);实验组顺产率高于对照组,差异达显著水平(P<0.05)。结论对消极归因模式初产妇进行归因训练能有效改善产妇的情绪,利于分娩。
Objective To explore the influence of attribution training on the negative labor model of primipara. Methods Negative attributable primiparae who met the criteria were randomly divided into experimental group (26 cases) and control group (26 cases). The experimental group was given attribution training except for routine nursing. The control group was given only routine nursing care. Results Attributed to the training, the anxiety and depression levels of the experimental group (7.36 ± 1.63, 6.45 ± 1.39) were significantly lower than those of the control group (9.51 ± 1.89,9.19 ± 2.04) (P <0.01); The first and second stage of labor (358.42 ± 21.51,60.24 ± 4.49min) was significantly shorter than that of the control group (471.10 ± 33.70,66.72 ± 4.57min) (P <0.01). The birth rate of the experimental group was significantly higher than that of the control group (P <0.05). Conclusion Attributional motivation of atypia mothers with negative attribution patterns can effectively improve maternal mood and facilitate childbirth.